Ukuthengiswa kwakhona kweprostate- kukuhlaselwa kancinci

Ukungeniswa okuncinci kwe-Prostate resection kutyando lokususa inxenye yeprostate gland. Kuyenziwa ukunyanga iprostate eyandisiweyo. Utyando luya kuphucula ukuhamba komchamo nge-urethra, ityhubhu ehambisa umchamo kwisinyi ngaphandle komzimba wakho. Inokwenziwa ngeendlela ezahlukeneyo. Akukho kusikwa (kusikiweyo) kulusu lwakho.

Ezi nkqubo zihlala zenziwa kwi-ofisi yomboneleli wakho wezempilo okanye kwiklinikhi yotyando lwangaphandle.

Olu tyando lunokwenziwa ngeendlela ezininzi. Uhlobo lotyando luya kuxhomekeka kubungakanani beprostate yakho kunye nento ebangele ukuba ikhule. Ugqirha wakho uya kuqwalasela ubungakanani beprostate yakho, ukuba uphilile kangakanani, kwaye loluphi uhlobo lotyando onokulufuna.

Zonke ezi nkqubo zenziwa ngokudlulisa isixhobo ngokuvula kwindawo yakho yobudoda (inyama). Uya kunikwa i-anesthesia ngokubanzi (ilele kwaye ayinazintlungu), i-spinal okanye i-anesthesia ye-epidural (ivukile kodwa ayinazintlungu), okanye i-anesthesia yendawo kunye ne-sedation. Ukhetho olusekwe ngokuchanekileyo zezi:

• I-Laser prostatectomy. Le nkqubo ithatha iiyure ezi-1 ukuya kwezi-2. I-laser itshabalalisa izicubu zeprostate ezivimba ukuvuleka kwe-urethra. Uya kugoduka kwangolo suku. Unokufuna i-catheter ye-Foley efakwe kwisinyi sakho ukunceda ukukhupha umchamo kwiintsuku ezimbalwa emva kotyando.
• Ukuhanjiswa kwenaliti yeTransurethral (TUNA). Ugqirha ugqitha iinaliti kwi-prostate. Amaza esandi ahamba ngesantya esiphezulu (i-ultrasound) afudumeza iinaliti kunye nezihlunu zeprotate. Unokufuna i-catheter ye-Foley efakwe kwisinyi sakho ukunceda ukukhupha umchamo emva kotyando iintsuku ezi-3 ukuya kwezi-5.
• Utshintsho kwimicrowave thermotherapy (TUMT). I-TUMT ihambisa ubushushu isebenzisa ii-microwave pulses ukutshabalalisa izicubu zeprotate. Ugqirha wakho uya kufaka i-antenna ye-microwave kwi-urethra yakho. Unokufuna i-catheter ye-Foley efakwe kwisinyi sakho ukunceda ukukhupha umchamo emva kotyando iintsuku ezi-3 ukuya kwezi-5.
• Ukuhanjiswa kwe-electrovaporization (TUVP). Isixhobo okanye isixhobo sihambisa umbane owomeleleyo wokutshabalalisa izicwili zeprostate. Uya kuba necatheter efakwe kwisinyi sakho. Inokususwa kwiiyure nje emva kwenkqubo okanye ungagoduka nayo.
• Ukucandwa kwetransurethral (TUIP). Ugqirha wakho wenza utyando oluncinci apho iprotrate idibana nesinyi sakho. Oku kwenza ukuba urethra ubanzi. Le nkqubo ithatha imizuzu engama-20 ukuya kwengama-30. Amadoda amaninzi angaya ekhaya kwangolo suku. Ukuchacha ngokupheleleyo kungathatha iiveki ezi-2 ukuya kwezi-3. Unokugoduka uphethe ipayithethi kwisinyi sakho.

Iprostate eyandisiweyo inokwenza kube nzima ukuba uchame. Unokufumana nokusuleleka kumchamo. Ukususa konke, okanye inxenye, yedlala lobudoda kunokwenza ezi mpawu zibengcono. Ngaphambi kokuba wenze utyando, ugqirha wakho angakuxelela utshintsho onokulenza kwindlela otya okanye osela ngayo. Unokuzama amanye amayeza.

Ukususwa kweprostate kunokucetyiswa ukuba:

• Ayikwazi ukungabinanto ngokupheleleyo kwisinyi (ukugcinwa komchamo)
• Ukuphinda usulelo lwe-urinary tract
• Ukopha kwi-prostate yakho
• Yiba namatye esinyi nge-prostate yakho eyandisiweyo
• Chama kancinci
• Uthathe amayeza, kwaye khange akuncede kwiimpawu zakho okanye awusafuni ukuwathatha

Iingozi zalo naluphi na utyando zezi:

• Amahlwili egazi emilenzeni anokuhamba aye emiphungeni
• Ukuphulukana negazi
• Iingxaki zokuphefumla
• Ukuhlaselwa yintliziyo okanye ukubetha xa uqhaqho
• Usulelo, kubandakanya inxeba lotyando, imiphunga (inyumoniya), isinyi, okanye izintso
• Impendulo kumayeza

Eminye imingcipheko kolu tyando yile:

• Iingxaki zokwakhiwa (ukungabi namandla)
• Akukho phuculo lokuphucula
• Ukugqithisa isidoda ukubuyela kwisinyi sakho endaweni yokuphuma kwi-urethra (phinda wenze i-ejaculation)
• Iingxaki ngokulawulwa komchamo (ukungasebenzi)
• Ukuqiniswa kwe-Urreral (ukuqiniswa kwendawo yokuphuma komchamo kwizihlunu ezibomvu)

Uya kuba notyelelo oluninzi kunye nomboneleli wakho kunye novavanyo ngaphambi kotyando:

• Gqibezela uvavanyo lomzimba
• Ukutyelelwa ngugqirha wakho ukuqinisekisa ukuba iingxaki zonyango, ezinjengesifo seswekile, uxinzelelo lwegazi oluphezulu, kunye neengxaki zentliziyo okanye zemiphunga ziphathwa kakuhle
• Ukuvavanywa ukuqinisekisa ukuba une-anatomy yesiqhelo yesinyi kunye nomsebenzi

Ukuba uyatshaya, kuya kufuneka uyeke iiveki ezimbalwa ngaphambi kotyando. Umboneleli wakho unokunceda.

Soloko uxelela umboneleli wakho ukuba zeziphi iziyobisi, iivithamini kunye nezinye izongezo ozithathayo, kwanezo uzithengileyo ngaphandle kommiselo.

Ngexesha leeveki ngaphambi kotyando:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), kunye namanye amayeza afana nala.
• Buza ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.

Ngomhla wotyando lwakho:

• Sukutya okanye usele nantoni na emva kobusuku ezinzulwini zobusuku ngaphambi kotyando lwakho.
• Thatha la mayeza uxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uya kuxelelwa ukuba ufike nini esibhedlele okanye eklinikhi.

Uninzi lwabantu luyakwazi ukugoduka ngosuku lotyando, okanye usuku olulandelayo. Unokuba usenayo ipayitida kwisinyi sakho xa uphuma esibhedlele okanye eklinikhi.

Uninzi lwexesha, ezi nkqubo zinokuzikhulula iimpawu zakho. Kodwa unamathuba aphezulu okufuna utyando lwesibini kwiminyaka emi-5 ukuya kweli-10 kunokuba une-transurethral resection ye-Prostate (TURP).

Olunye lonyango olungafunekiyo olunokubangela iingxaki ezimbalwa ngokulawula umchamo wakho okanye ukubanakho ukwabelana ngesondo kune-TURP esemgangathweni. Thetha nogqirha wakho.

Unokuba nezi ngxaki zilandelayo okwethutyana emva kotyando:

• Igazi kumchamo wakho
• Ukutshisa ngokuchama
• Kufuneka uchame rhoqo
• Ngokukhawuleza unqwenela ukuchama

IGreenlight laser prostatectomy; Ukutshitshiswa kwenaliti yotyando; TUNA; Ukuqhekeka kwetransurethral; ISIPHUMO; IHolmium laser enucleation yeprostate; HoLep; I-laser coagulation yangaphakathi; ILC; Ukufota umphunga wendlala; PVP; Ukuhanjiswa kwe-electrovaporization; TUVP; I-microwave microwave thermotherapy; TUMT; Ukunyusa; BPH - ukuthengiswa kwakhona; I-Benign prostatic hyperplasia (hypertrophy) - ukuthengiswa kwakhona; Iprostate-eyandisiweyo-yokuthengisa kwakhona; Unyango lomphunga wamanzi (Rezum)

• Iprostate eyandisiweyo- yintoni oza kuyibuza ugqirha wakho
• Ukuthengiswa kwakhona kweprostate- ukukhutshwa okungafunekiyo okuncinci
• Ukuthengiswa ngokutsha kweprostate-ukukhutshwa

UDjavan B, Teimoori M. Ulawulo lotyando lwe-LUTS / BPH: I-TURP vs. i-prostatectomy evulekileyo. Ku: Morgia G, ed. Iimpawu ezisezantsi zoMchamo kunye neBenign Prostatic Hyperplasia. ICambridge, MA: Elsevier Academic Press; I-2018: isahluko 12.

Khulisa u-HE, uBarry MJ, uDahm P, et al. Ulawulo lotyando lweempawu ezisezantsi zomchamo ezinxulumene ne-benign prostatic hyperplasia: Isikhokelo se-AUA. J Urol. 2018; 200 (3): 612-619. IINKCUKACHA: 29775639 www.ncbi.nlm.nih.gov/pubmed/29775639.

UHan M, uPartin AW. Iprostatectomy elula: iindlela ezivulekileyo nezincediswa ziirobhothi. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 106.

IWelliver C, iMcVary KT. Ungenelelo oluncinci kunye nolawulo lwe-endoscopic ye-benign prostatic hyperplasia. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 105.